Validation of the Spanish-language Version of the Kihon Checklist to Assess Frailty in Older Adults
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Frailty
- Sponsor
- University of Valencia
- Enrollment
- 251
- Locations
- 1
- Primary Endpoint
- Frailty: The Kihon Checklist
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
The purpose of this cross-sectional study is to validate the Spanish version of the Kihon Checklist for screening frailty in Spanish community-dwelling older adults.
Detailed Description
In order to identify individuals at risk for frailty, a wide variety of assessment tools have been developed in recent years. Nevertheless, there is still a lack of a gold standard method to be used. Therefore, simple, reliable, and valid instruments are still needed for both research and clinical purposes. The Kihon Checklist is a multidimensional tool widely used in Japan and in other countries, but an exhaustive validity in Spanish population has not been yet established. The main objective is to validate the Spanish version of the Kihon Checklist for screening frailty in Spanish community-dwelling older adults, and as a secondary objective, to study and to compare different scales of frailty in the Spanish population, and to study their associations. To cope with the objectives of the present study, a cross-sectional study was conducted. To this purpose, data were collected through various tests and questionnaires about: frailty; clinical, demographic and anthropometric characteristics; physical assessment; functional status; cognitive function; health-related quality of life; depressive mood; and nutritional status.
Investigators
Trinidad Sentandreu-Mañó
Principal Investigator
University of Valencia
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 65 years
- •Community-dwelling older adults
Exclusion Criteria
- •Barthel Index \< 85 points considering as disabled
- •Mini-Mental State Examination \< 18 points
- •Acute disease
- •Unstable chronic disease
Outcomes
Primary Outcomes
Frailty: The Kihon Checklist
Time Frame: The cohort group was assessed in one day visit.
The Kihon Checklist is a self-reporting survey used for screening frail older adults. It consists of 25 yes/no questions divided into 7 domains: activities of daily living, physical strength, nutrition, eating, socialization, memory, and depressive mood. Higher scores indicate a higher risk of requiring support. A total score ≥ 7 points indicates general frailty (Sewo Sampaio 2016). The Spanish Kihon version used for validation in this study was translated by Maseda et al. (2017).
Frailty: The Edmonton Frailty Scale
Time Frame: The cohort group was assessed in one day visit.
The Edmonton Frailty Scale (Rolfson 2006) evaluates 9 domains of frailty: cognition, general health status, functional independence, social support, medication usage, nutrition, mood, continence, and functional performance. It has a total score ranging from 0 to 17, with higher scores representing greater frailty severity.
Frailty: Fried's Frailty Phenotype
Time Frame: The cohort group was assessed in one day visit.
Fried's Frailty Phenotype proposed in the Cardiovascular Health Study (Fried 2001) consists of 5 criteria: unintentional weight loss, exhaustion, low physical activity, reduced grip strength, and reduced gait speed. It has a total score ranging from 0 to 5. A frail person is who scores 3 to 5; prefrail when scores 1 to 2, and robust when scores 0.
Frailty: The Frail Scale
Time Frame: The cohort group was assessed in one day visit.
Frailty measured by the Frail Scale (Masanes et al., 2012). It has a total score of 5 points. The more score the more frailty. Participants are considered frail individuals with scores 3 to 5; prefrail with scores 1 to 2, and robust with scores of 0.
Frailty: The Tilburg Frailty Indicator
Time Frame: The cohort group was assessed in one day visit.
The Tilburg Frailty Indicator (Gobbens et al., 2010) is a self-reported questionnaire of 15 items addressing physical, psychological and social domains. The total score of the Tilburg scale can range from 0 to 15. Higher scores indicate more frailty.
Secondary Outcomes
- Gait speed(The cohort group was assessed in one day visit.)
- Barthel Index(The cohort group was assessed in one day visit.)
- Lawton and Brody Questionnaire(The cohort group will be assessed in one day visit.)
- Knee extension strength(The cohort group was assessed in one day visit.)
- Elbow flexion strength(The cohort group was assessed in one day visit.)
- Modified Baecke Questionnaire(The cohort group will be assessed in one day visit.)
- The Short Physical Performance Battery(The cohort group was assessed in one day visit.)
- Handgrip strength(The cohort group was assessed in one day visit.)
- Muscle mass(The cohort group was assessed in one day visit.)
- Mini-Mental State Examination(The cohort group was assessed in one day visit.)
- Short Form Health Survey SF-8(The cohort group was assessed in one day visit.)
- Depressive symptoms CES-D short form (CESD-7)(The cohort group was assessed in one day visit.)
- Mini Nutritional Assessment-Short Form (MNA-SF)(The cohort group was assessed in one day visit.)